NPI Code Detail JSON Logo

1902298128 NPI number — ADVANCED CARE SERVICES, INC

NPI Number: 1902298128
Health Care Provider/Practitioner: ADVANCED CARE SERVICES, INC

Information about “1902298128” NPI (ADVANCED CARE SERVICES, INC) exists in 1902298128 in HTML format HTML  |  1902298128 in plain Text format TXT  |  1902298128 in PDF (Portable Document Format) PDF  |  1902298128 in an XML format XML  formats.

NPI Number : 1902298128 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1902298128",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ADVANCED CARE SERVICES, INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1620 NE 148TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NORTH MIAMI",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33181-1021",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "786-298-7379",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1620 NE 148TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NORTH MIAMI",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33181-1021",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "305-705-6445",
    "PracticeLocationAddressFaxNumber": "888-890-6583",
    "EnumerationDate": "02/25/2015",
    "LastUpdateDate": "08/06/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CORADIN",
    "AuthorizedOfficialFirstName": "DAVID",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CMO",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD,",
    "AuthorizedOfficialTelephoneNumber": "954-501-5274",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251B00000X",
          "TaxonomyName": "Case Management Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251S00000X",
          "TaxonomyName": "Community/Behavioral Health Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QP2300X",
          "TaxonomyName": "Primary Care Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "323P00000X",
          "TaxonomyName": "Psychiatric Residential Treatment Facility",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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